Applying

The child and adolescent psychiatry fellowship at the UCSD School of Medicine is fully accredited by the ACGME and provides a well–rounded two year clinical training program for five fellows per year.  Graduates are well trained in all major aspects of child and adolescent psychiatry. Early application is encouraged. Applications are accepted through the Electronic Residency Application Service after July 15 with an October 1 application deadline. Interviews are by invitation, and interview slots are limited. The program participates in the NRMP match. We also consider up to two residents per year who know they wish to train at UCSD for pre-match acceptance prior to July 1 of their PGY-3 year. All first year fellows have an identical curriculum with rotations at Rady Children's Hospital and Family Health Centers of San Diego with five rotations lasting approximately 2.5 months for each rotation: CAPS (inpatient unit) for two rotations, Medical Behavioral Unit/CL for one rotation, ER/Crisis Stabilization Unit and Pediatric Neurology for one rotation and Family Health Centers of San Diego for one rotation. Each first year fellow has a longitudinal outpatient clinic at Rady Children's Hospital San Diego and completes a development rotation during the first summer of training. During the second year, the community track child and adolescent psychiatry fellow will have experiences at Vista Hill Foundation and San Diego Center for Children in place of an outpatient placement at Rady Children's Outpatient Psychiatry Clinic. The community track fellow will also complete child and adolescent psychiatry selectives identical to the traditional track fellows in school consultation, forensics, Autism Discovery Institute, Kidstart, Chadwick (child abuse), developmental behavioral pediatrics and substance abuse. The community track fellow also participates in the child and adolescent psychiatry didactic curriculum with the traditional track fellows but has a mandatory community didactic program in place of the elective time given to traditional track fellows.

Community Track

The partnership between the Community Track (CPP) of the UCSD Child and Adolescent Psychiatry Fellowship, Family Health Centers of San Diego (FHCSD), San Diego Center for Children (SDCC) and Vista Hill Foundation (VHF), will place Child and Adolescent Fellows at FHCSD, SDCC and VHF sites in addition to Rady and other selective sites. The first phase of the Community Track would start July 2018, with placement of five first-year fellows at FHCSD (Year 1 Curriculum). The second phase, beginning in July 2019, will continue the Year 1 Curriculum (with a new set of fellows), as well as initiate placement of one second year fellow at SDCC and VHF outpatient sites (Year 2 Curriculum).

During Year 1, each first-year fellow rotates through FHCSD, spending ~2.5 months on site, 6 half day sessions per week. The new child mental health clinic at FHCSD in Barrio Logan Area (FCC-2) will be the main clinic with dedicated exam rooms for the UCSD fellow and faculty. FHCSD will dedicate space at its pediatric clinic in either Logan Heights or Diamond Clinic for integrated care model of training. FHCSD will devote two child adolescent psychiatrists to be voluntary faculty with UCSD to help train CPP child adolescent track fellows. Patient volume per half-day will be capped at 3.5. One half-day will be reserved for CPP child/adolescent placement, one half-day will be for UCSD/Rady outpatient clinic, and 2 didactic blocks will be protected.

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During year 2, the dedicated second community track fellow will provide outpatient services at a range of clinical sites at SDCC and VHF. These may include Residential program at SDCC, managed MediCal FFS program at SDCC, Merit High School, Substance abuse treatment, Parent Care, or other sites.  The fellow will have 6 half day sessions of outpatient care. This will protect half-day of mandatory Child Adolescent selectives and CPP didactics.

Community Fellow VHF Outpatient Placement

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Fellow Expectations and Supervision

Child and adolescent psychiatry fellows have completed at least 3 years of psychiatry residency, which includes at least two months of approximately 4 days / week of direct patient care for children and adolescents (most commonly on an inpatient unit). First year fellows enter fellowship well versed in safety evaluations, basics of psychopharmacology, psychiatric emergencies, and have carried longitudinal psychotherapy patients.

First-year fellows’ responsibilities include communicating effectively with family and collateral supports, providing psychiatric assessment, diagnosis, treatment planning (including recommendations for medications and psychotherapy), managing psychopharmacology, monitoring medical conditions as appropriate, participating in multidisciplinary teams, and running psycho-educational / CBT/ DBT groups and family meetings.

First-year fellows will review cases on a daily basis with a Board Certified or Board Eligible child and adolescent psychiatrist, who may be a UCSD faculty supervisor, or a staff attending.  Each fellow will be assigned a UCSD faculty member as site caseload supervisor, who will review cases with the fellow at least once per week.

Second-year fellows are expected to carry approximately 40 outpatients.  Responsibilities include psychiatric assessment, diagnosis, treatment planning (including recommendations for medications and psychotherapy), managing psychopharmacology, monitoring medical conditions as appropriate, participating in multidisciplinary teams. The second-year outpatient caseload is expected to include patients’ facing a range of the most common psychiatric disorders among children and adolescents (anxiety disorders, affective disorders, psychosis, eating disorders, OCD, ADHD)